Very valid question. Clients that come to me looking for a natural enhancement without an implant, I usually recommend a fat transfer. But a fat transfer is not a perfect replacement for implants. However, it can also be combined with an implant or used as a secondary procedure to fill in areas that are flat or thin. Fat transfer should not affect nipple sensation, mammograms, cancer risk or breast feeding. The great thing about a fat transfer to the breasts is that once it is injected, it becomes part of your body, meaning if you gain or lose weight, the transferred fat can do the same.Fat is living tissue, so it will graft onto existing cells in your body. Most clients retain 50-70% of the fat from their fat transfer procedure. If a greater enhancement is wanted, subsequent fat transfer procedures can be performed until the desired result is achieved. Results are usually permanent. Because fat transfer uses liposuction to transfer the fat, no incisions will be made. There will be no scarring. To increase safety, I use a unique closed-loop system for my signature fat transfer, where the fatty tissue never leaves the sterilized environment. The fat is purified in a sterilized cannister and injected directly into the treatment area using the same equipment, resulting in a faster more sterile fat transfer process. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast plastic surgery. Best of luck! Dr. Schwartz Board Certified Plastic Surgeon #RealSelf100Surgeon #RealSelfCORESurgeon